Fournier's gangrene – a clinical case report
Fournier’s gangrene is an acute, rapidly progressive, necrotizing infection of the skin and subcutaneous tissues surrounding the genitals and perineum. Necrotizing fasciitis of the genital area is a rare disease entity. Although it concerns mostly males, can also occur in females and adolescents. In...
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Format: | Article |
Language: | English |
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Kazimierz Wielki University
2018-08-01
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Series: | Journal of Education, Health and Sport |
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Online Access: | http://www.ojs.ukw.edu.pl/index.php/johs/article/view/5767 |
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author | Katarzyna Adamczyk Rafal Wojcik Dorota Adamczyk Krzysztof Kozak Ewa Jasińska Małgorzata Piasecka-Twaróg |
author_facet | Katarzyna Adamczyk Rafal Wojcik Dorota Adamczyk Krzysztof Kozak Ewa Jasińska Małgorzata Piasecka-Twaróg |
author_sort | Katarzyna Adamczyk |
collection | DOAJ |
description | Fournier’s gangrene is an acute, rapidly progressive, necrotizing infection of the skin and subcutaneous tissues surrounding the genitals and perineum. Necrotizing fasciitis of the genital area is a rare disease entity. Although it concerns mostly males, can also occur in females and adolescents. In this syndrome, bacteria produce gases which accumulate in the infected tissue. The damage may also comprise tissue of the penis and scrotum. The infection is caused by aerobic and anaerobic bacteria. Usually the Fournier’s gangrene is caused by Staphylococci, Streptococci and Enteric bacteria. Bacterial infection can accompany the fungal infection. The high mortality rate is associated with bacterial contagion of the skin, fat, fascia and blood vessels. Harmful enzymes, produced by micro-organisms, induce numerous blood clots. They can lead to ischemia, which contribute to the development of necrosis. Fournier’s syndrome is a disease with a high mortality rate. Immunodeficiency, diabetes and chronic alcohol abuse favor the development of gangrene. Abrasion, burn or surgery complication may be the route of infection for microorganisms. Clinical symptoms appear within few days. Diagnostic process is based on the clinical picture. It is crucial to start treatment as soon as possible. Delay of the wide spectral intravenous antibiotic therapy and surgical removal of the necrotic tissue may result in death of the patient. |
first_indexed | 2024-04-13T02:31:26Z |
format | Article |
id | doaj.art-9ce6b6aee0bc4ea0a28388cd3303d92a |
institution | Directory Open Access Journal |
issn | 2391-8306 |
language | English |
last_indexed | 2024-04-13T02:31:26Z |
publishDate | 2018-08-01 |
publisher | Kazimierz Wielki University |
record_format | Article |
series | Journal of Education, Health and Sport |
spelling | doaj.art-9ce6b6aee0bc4ea0a28388cd3303d92a2022-12-22T03:06:34ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062018-08-018863063510.5281/zenodo.13416885292Fournier's gangrene – a clinical case reportKatarzyna Adamczyk0Rafal Wojcik1Dorota Adamczyk2Krzysztof Kozak3Ewa Jasińska4Małgorzata Piasecka-Twaróg5Students at the Medical University of LublinDepartment of Human Anatomy, Medical University of LublinStudents at the Medical University of LublinDepartment of Human Anatomy, Medical University of LublinDepartment of Medical Microbiology, Medical University of LublinDepartment of Anesthesiology and Intensive Care, Cardinal Stefan Wyszyński’s Regional Specialistic Hospital in Lublin, PolandFournier’s gangrene is an acute, rapidly progressive, necrotizing infection of the skin and subcutaneous tissues surrounding the genitals and perineum. Necrotizing fasciitis of the genital area is a rare disease entity. Although it concerns mostly males, can also occur in females and adolescents. In this syndrome, bacteria produce gases which accumulate in the infected tissue. The damage may also comprise tissue of the penis and scrotum. The infection is caused by aerobic and anaerobic bacteria. Usually the Fournier’s gangrene is caused by Staphylococci, Streptococci and Enteric bacteria. Bacterial infection can accompany the fungal infection. The high mortality rate is associated with bacterial contagion of the skin, fat, fascia and blood vessels. Harmful enzymes, produced by micro-organisms, induce numerous blood clots. They can lead to ischemia, which contribute to the development of necrosis. Fournier’s syndrome is a disease with a high mortality rate. Immunodeficiency, diabetes and chronic alcohol abuse favor the development of gangrene. Abrasion, burn or surgery complication may be the route of infection for microorganisms. Clinical symptoms appear within few days. Diagnostic process is based on the clinical picture. It is crucial to start treatment as soon as possible. Delay of the wide spectral intravenous antibiotic therapy and surgical removal of the necrotic tissue may result in death of the patient.http://www.ojs.ukw.edu.pl/index.php/johs/article/view/5767fournier’s gangrene, necrotizing fasciitis, syndrome |
spellingShingle | Katarzyna Adamczyk Rafal Wojcik Dorota Adamczyk Krzysztof Kozak Ewa Jasińska Małgorzata Piasecka-Twaróg Fournier's gangrene – a clinical case report Journal of Education, Health and Sport fournier’s gangrene, necrotizing fasciitis, syndrome |
title | Fournier's gangrene – a clinical case report |
title_full | Fournier's gangrene – a clinical case report |
title_fullStr | Fournier's gangrene – a clinical case report |
title_full_unstemmed | Fournier's gangrene – a clinical case report |
title_short | Fournier's gangrene – a clinical case report |
title_sort | fournier s gangrene a clinical case report |
topic | fournier’s gangrene, necrotizing fasciitis, syndrome |
url | http://www.ojs.ukw.edu.pl/index.php/johs/article/view/5767 |
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